| NPI | 1689140311 |
|---|---|
| Other Name | BLAIRE DANIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: GA 185408) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2018-10-20 |
| Last Update Date | 2021-11-23 |