| NPI | 1275871527 |
|---|---|
| Former Name | HEIDI ANN BLAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 21233) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA14243NA) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2021-04-06 |