NPI | 1710256037 |
---|---|
Former Name | FANIKA SHUNTAE ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS R882847) |
Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: MS R882847) |
Enumeration Date | 2011-12-14 |
Last Update Date | 2025-07-03 |