| NPI | 1851972293 |
|---|---|
| Former Name | ALEXA KAITLYN EDMONDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29848) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN 214892) |
| Enumeration Date | 2021-04-17 |
| Last Update Date | 2021-11-16 |