NPI | 1790300366 |
---|---|
Former Name | TAUCHA LYNN ADKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 106695) |
Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WV 63084) |
Enumeration Date | 2020-06-10 |
Last Update Date | 2020-06-10 |