NPI | 1043375090 |
---|---|
Former Name | KIMBERLY A BLANCHARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MA 229918) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 229918) |
363LW0102X Nurse Practitioner, Women's Health (Licence: MA 229918) | |
Enumeration Date | 2006-12-27 |
Last Update Date | 2023-04-03 |