| NPI | 1295216208 |
|---|---|
| Former Name | BABY RUTH ADAJAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 21950) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 21950) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: SC APRN21950) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 21950) | |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2023-02-09 |