| NPI | 1780355016 |
|---|---|
| Former Name | SKYLAR EDMISTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 209.024058) |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2025-06-10 |