NPI | 1306347851 |
---|---|
Professional Name | LORI CHANTEL EDWARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 53-77779-072) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 77779) |
Enumeration Date | 2018-02-21 |
Last Update Date | 2023-09-28 |