| NPI | 1518937572 |
|---|---|
| Former Name | KIMBERLY KAY EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TN 56567) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: GA 037384) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2018-05-02 |