| NPI | 1760745707 |
|---|---|
| Former Name | SHAYLA J EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26nj00383900) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP01187) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2018-05-30 |