| NPI | 1043617046 |
|---|---|
| Former Name | DAWNA LEA EDMONDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: MI 4704116023) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |