| NPI | 1376224469 |
|---|---|
| Former Name | KELLEN EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NC C20502) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |