| NPI | 1407833379 |
|---|---|
| Former Name | MARY NYLENE EDMONDSON/SKINNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP2139282) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2007-07-08 |