NPI | 1538429865 |
---|---|
Former Name | REBECCA ANN BLAIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A107192) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA 00) |
364SX0200X Clinical Nurse Specialist Oncology (Licence: IA A107192) | |
Enumeration Date | 2012-05-21 |
Last Update Date | 2023-12-14 |