| NPI | 1104264886 |
|---|---|
| Former Name | CISLYN JACINTA BLAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP123971) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 835762) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2022-07-13 |