NPI | 1740347483 |
---|---|
Former Name | HEATHER H EDWARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R867584) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS R867584) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2014-02-11 |