| NPI | 1457471443 |
|---|---|
| Former Name | JAIME LYNN BLANK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: WA MD60027256) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NY 235045-1) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: ME MD22652) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: MA 277564) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: MD D0088779) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: WI 257-320) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: VA 0101270908) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: NC 2020-03550) | |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2020-11-17 |