NPI | 1396108437 |
---|---|
Former Name | BRITNEY A ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12517) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0004593) |
Enumeration Date | 2016-04-04 |
Last Update Date | 2017-12-29 |