| NPI | 1962860098 |
|---|---|
| Former Name | NICOLE E MCADAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: WA PA60852384) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WY PT667) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2020-02-26 |