| NPI | 1477710622 |
|---|---|
| Former Name | CASSIE MARIA BLANKENSHIP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101250862) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2015-02-24 |