| NPI | 1649377607 |
|---|---|
| Former Name | JODI M. BLAISDELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: HI MD-8847) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-05-26 |