NPI | 1861817314 |
---|---|
Former Name | MISTY ROSE ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CT 005619) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 005619) |
Enumeration Date | 2014-02-20 |
Last Update Date | 2023-02-02 |