NPI | 1952808958 |
---|---|
Former Name | DENAYA DANYELLE EDWARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 30692) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 4275) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-07 |
Last Update Date | 2022-10-03 |