| NPI | 1437404860 |
|---|---|
| Former Name | AMY LYNN EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704292707) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704292707) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2014-07-23 |