NPI | 1508191776 |
---|---|
Former Name | KATHLEEN RYAN ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN199241) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN199241) |
Enumeration Date | 2009-10-06 |
Last Update Date | 2014-04-23 |