| NPI | 1770903429 |
|---|---|
| Former Name | ELLEN AMY ADAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 60094) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A152846) |
| 208000000X Pediatrics (Licence: MN 60094) | |
| 208000000X Pediatrics (Licence: CA A152846) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2023-06-21 |