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 |