| NPI | 1528786316 |
|---|---|
| Former Name | JESSICA MARIE EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 221481) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AR 221481) |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2023-02-01 |