NPI | 1417282906 |
---|---|
Professional Name | STACEY LYNNE CANTOR-ADKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: NY 169551-1) |
Additional Taxonomies | 208D00000X General Practice (Licence: DC MD34091) |
208D00000X General Practice (Licence: PA MD035961E) | |
208D00000X General Practice (Licence: CA G 68191) | |
Enumeration Date | 2009-10-16 |
Last Update Date | 2018-12-11 |