NPI | 1437408093 |
---|---|
Former Name | KENDRA JO EDWARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9212674) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991706-NP) |
Enumeration Date | 2012-08-29 |
Last Update Date | 2021-01-13 |