NPI | 1073622932 |
---|---|
Former Name | JANELLE CHRISTINE ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2651) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA FNP16137) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2013-06-21 |