NPI | 1679144901 |
---|---|
Former Name | CHRISTINA MARIE EDMAN, AMOLE, REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 35186) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029256) |
Enumeration Date | 2021-07-07 |
Last Update Date | 2024-01-04 |