| NPI | 1023207982 |
|---|---|
| Former Name | MARILYN J EDMISTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11027614) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024169523) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2025-03-13 |