NPI | 1740263805 |
---|---|
Former Name | ADRIA B. WATSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3004419) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3004419) |
Enumeration Date | 2005-11-22 |
Last Update Date | 2016-11-17 |