| NPI | 1659355683 |
|---|---|
| Former Name | ALICE K BLANNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 55031) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 072705) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2011-09-20 |