| NPI | 1164082111 |
|---|---|
| Former Name | JE' SAUNDRA MICHELLE BLACKBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 834314) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: AK 145533) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |