NPI | 1831327063 |
---|---|
Former Name | TRISHA ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD157590) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 49139) |
Enumeration Date | 2009-06-25 |
Last Update Date | 2014-05-08 |