| NPI | 1477876415 |
|---|---|
| Former Name | MEGHAN C BLASE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2010007131) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2019-08-23 |