NPI | 1164942538 |
---|---|
Former Name | ALICIA ADAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007384A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28226461A) |
Enumeration Date | 2017-06-26 |
Last Update Date | 2023-08-15 |