NPI | 1437608809 |
---|---|
Former Name | ERICA L BLANCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5021505) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9363994) |
Enumeration Date | 2016-09-27 |
Last Update Date | 2025-03-12 |