NPI | 1760673818 |
---|---|
Former Name | LISA L ADKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP029780) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP116065 /RN 581248) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2024-05-31 |