| 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 |