NPI | 1316505654 |
---|---|
Former Name | DAWN LYSBETH ADKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WV 102683) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 024596) |
Enumeration Date | 2019-06-02 |
Last Update Date | 2022-12-21 |