| NPI | 1326027913 |
|---|---|
| Former Name | CAROL ANN BLINN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71001032A) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71001032B) |
| 363L00000X Nurse Practitioner (Licence: IN 71001032A) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2015-05-29 |