| NPI | 1407080419 |
|---|---|
| Former Name | COURTNEY E EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002887) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95002887) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: CA 3164) | |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2018-09-24 |