| NPI | 1528103314 |
|---|---|
| Former Name | HEATHER D EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine Sports Medicine (Licence: NM MD2023-1355) |
| Additional Taxonomies | 207QS0010X Family Medicine Sports Medicine (Licence: MN 49976) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2024-07-16 |