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 |