NPI | 1548562531 |
---|---|
Former Name | CANDICE L ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2010038004) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2010038004) |
Enumeration Date | 2010-11-23 |
Last Update Date | 2019-06-18 |