NPI | 1932407897 |
---|---|
Former Name | ALYSON ANNE ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9112392) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2011005757) |
Enumeration Date | 2011-03-02 |
Last Update Date | 2021-08-12 |