| NPI | 1346676103 |
|---|---|
| Former Name | ADRIENNE BLAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 750214) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP124540) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2022-09-06 |