NPI | 1811496821 |
---|---|
Former Name | LYNN ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.017216) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ 260888) |
363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 260888) | |
Enumeration Date | 2018-02-05 |
Last Update Date | 2023-10-17 |