| NPI | 1235653908 |
|---|---|
| Former Name | AMANDA J BLANTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: IN 71007466A) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: KY 3016827) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2022-01-12 |