| NPI | 1376965285 |
|---|---|
| Former Name | SCARLETT JUSTINE BLAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 100040) |
| Enumeration Date | 2014-01-11 |
| Last Update Date | 2019-08-05 |