| NPI | 1285934406 |
|---|---|
| Former Name | MANDY L BLUMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA161600) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61243759) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2024-02-05 |