NPI | 1700301314 |
---|---|
Former Name | TRISHA M ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9344681) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL ARNP9344681) |
Enumeration Date | 2017-08-04 |
Last Update Date | 2021-10-26 |