NPI | 1255371589 |
---|---|
Former Name | JANICE ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R699489) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP128896) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2022-06-01 |