| NPI | 1316412174 |
|---|---|
| Former Name | JUSTINE EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.023492) |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2022-03-29 |