NPI | 1841783743 |
---|---|
Former Name | KENDRA ELIZABETH EDWARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OK 101487) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 101487) |
Enumeration Date | 2018-06-14 |
Last Update Date | 2018-06-14 |