| NPI | 1710322896 |
|---|---|
| Former Name | PATRICIA ROSE BLEDSOE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 82246) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| 208000000X Pediatrics (Licence: CA 20A14128) | |
| 208D00000X General Practice (Licence: GA 82246) | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2023-04-21 |