NPI | 1871260281 |
---|---|
Former Name | AMY ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011794A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28238472A) |
Enumeration Date | 2021-08-24 |
Last Update Date | 2023-08-10 |