| NPI | 1386396851 |
|---|---|
| Former Name | MOLLY E BLEVINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3017340) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |