| NPI | 1053892109 |
|---|---|
| Former Name | JANESSA LYNN BLASER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG61001199) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2019-11-21 |