| NPI | 1114098571 |
|---|---|
| Former Name | ADRIENNE S EDDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 0639P) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT 001509) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2021-03-10 |