Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | SP008394 | PA |
NPI | 1033251038 |
---|---|
Provider Name | Ruth C Adams |
First Address | Philadelphia, PA 19134 |
Second Address | Philadelphia, PA 19134 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 15/09/2011 |