| NPI | 1558890590 |
|---|---|
| Former Name | SHALEASE ADAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.156885) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0064091) |
| Enumeration Date | 2017-06-04 |
| Last Update Date | 2025-05-29 |