| NPI | 1437875770 |
|---|---|
| Former Name | COLLEEN SHEILA EDGEHOUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0032533) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2025-11-20 |