| NPI | 1720022619 |
|---|---|
| Former Name | MICHELLE R BLENSTOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP10741) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2021-03-15 |