NPI | 1073762308 |
---|---|
Former Name | JOANN MARIE ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209008172) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 151656) |
Enumeration Date | 2008-09-10 |
Last Update Date | 2019-12-05 |