| NPI | 1437400520 |
|---|---|
| Former Name | AUDREY ADAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.006983) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-004490) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2022-09-12 |