| NPI | 1467869461 |
|---|---|
| Former Name | EMILY EDMONDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 0004602) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 005082) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2018-02-07 |