NPI | 1851760359 |
---|---|
Former Name | CAMILLE ANN EDWITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9238474) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9238474) |
Enumeration Date | 2015-09-15 |
Last Update Date | 2024-05-16 |