NPI | 1316083579 |
---|---|
Former Name | JAMIE E ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110003297) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA001075) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2013-04-16 |