| NPI | 1457504599 |
|---|---|
| Former Name | ANGELA TERRELL EDMONDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024173867) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 163955) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2024-07-11 |