| NPI | 1669614301 |
|---|---|
| Former Name | ELLEN JOYCE BLAKESLEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001181606) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 36483) |
| 163W00000X Registered Nurse (Licence: KS unknown) | |
| 163W00000X Registered Nurse (Licence: MO unknown) | |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-03-26 |