| NPI | 1275017394 |
|---|---|
| Former Name | SAVANA CAROLINE EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 0010-08473) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-28 |