NPI | 1558625715 |
---|---|
Former Name | CHRISTA NICOLE ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0088814) |
Enumeration Date | 2012-07-02 |
Last Update Date | 2022-03-15 |