| NPI | 1790902955 |
|---|---|
| Former Name | CHRISTINE L EDGAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA MA051694) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2021-11-11 |