| NPI | 1396210167 |
|---|---|
| Former Name | KATHERINE ELIZABETH EDMONDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 9428062-4405) |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2019-04-26 |