| NPI | 1740499961 |
|---|---|
| Former Name | COURTNEY LEANN EDGAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 56336) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-7767) |
| 207R00000X Internal Medicine (Licence: SC 32069) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 35.091055) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57012028) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-04-04 |