| NPI | 1376968032 |
|---|---|
| Former Name | CORI DEVON BLAIR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP9276319) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2015-08-06 |