| NPI | 1235526609 |
|---|---|
| Former Name | AMELIA EDMONDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-05702) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: NC 0010-05702) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2019-12-11 |