NPI | 1699145862 |
---|---|
Former Name | NATALIE BLAZIER HANES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA npf95002639) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA np95002639) |
Enumeration Date | 2015-10-01 |
Last Update Date | 2019-05-01 |