| NPI | 1285290726 |
|---|---|
| Former Name | ALEXANDRA MARIE EDMONDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95012397) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95136326) |
| 163WC1500X Registered Nurse, Community Health (Licence: CA 558319) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95012397) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95012397) | |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2024-01-04 |