NPI | 1174826903 |
---|---|
Former Name | JENNIFER L ADKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OR 201030479LPN) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 235467) |
Enumeration Date | 2010-12-16 |
Last Update Date | 2010-12-16 |