Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | C147647 | CA |
Y | 2080P0203X | Pediatric Critical Care Doctor | 113890 | FL |
N | 2080P0203X | Pediatric Critical Care Doctor | C147647 | CA |
NPI | 1073745360 |
---|---|
Provider Name | Sabrina Adams |
First Address | Fresno, CA 93721-1431 |
Second Address | Pensacola, FL 32504-8785 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2009 |
Last Update Date | 31/12/2019 |