| NPI | 1003149295 |
|---|---|
| Former Name | ANNE E BLAHA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 3833) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 3833-33) |
| Enumeration Date | 2009-09-07 |
| Last Update Date | 2015-12-04 |