| NPI | 1104605351 |
|---|---|
| Former Name | MAKENNA K ADAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71015628A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28264344A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2024-08-19 |