| NPI | 1205523875 |
|---|---|
| Other Name | CASSIDY A. BLANKENHORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP027318) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-06-08 |