| NPI | 1316429806 |
|---|---|
| Former Name | BLAIR ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008293A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71008293A) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71008293A) | |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2024-11-06 |