NPI | 1073162772 |
---|---|
Former Name | KALI EDMUNDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WV 104355) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3016318) |
Enumeration Date | 2019-09-05 |
Last Update Date | 2021-07-26 |