| NPI | 1225921737 |
|---|---|
| Former Name | ANISSA RACHEL EDMONDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: KS 53-83818-052) |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-02 |