| NPI | 1407100571 |
|---|---|
| Former Name | ASHLEY E BLAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 064194-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993094-NP) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2023-03-28 |