| NPI | 1245447192 |
|---|---|
| Former Name | ELIZABETH EDMANDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 284) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC APRN 284) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-10-13 |