NPI | 1518924208 |
---|---|
Former Name | HEATHER L ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA051276) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 2413) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2017-11-06 |