NPI | 1821604604 |
---|---|
Former Name | KYRSTIN ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 4704318300) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704318300) |
Enumeration Date | 2020-09-17 |
Last Update Date | 2021-06-23 |