NPI | 1164853099 |
---|---|
Former Name | HELEN BLAIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1116341) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-116341) |
Enumeration Date | 2013-12-03 |
Last Update Date | 2018-10-25 |