Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 2014-02404 | NC |
NPI | 1073995460 |
---|---|
Provider Name | Dr. Janet P Edwards |
First Address | Calgary, AB T2N2V4 |
Second Address | Calgary, AB T2N2V4 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2015 |
Last Update Date | 23/06/2015 |