NPI | 1558761668 |
---|---|
Former Name | CHASSITY BLANKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 901348) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 173411) |
Enumeration Date | 2014-08-26 |
Last Update Date | 2016-07-12 |