| NPI | 1275847022 |
|---|---|
| Former Name | EILEEN M EDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA059265) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110003325) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2018-03-17 |