| NPI | 1598223216 |
|---|---|
| Former Name | LISA ADKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WV APRN74140-AGPCNP-BC) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: WV APRN741400AGPCNP-BC) |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2021-01-07 |