| NPI | 1558345553 |
|---|---|
| Former Name | PAMELA SUE BLACKWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 139043) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2021-03-30 |