| NPI | 1891021366 | 
|---|---|
| Former Name | GERI ANN EDMONDS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601005609)  | 
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IA 002045)  | 
| Enumeration Date | 2009-10-19 | 
| Last Update Date | 2022-07-21 |