NPI | 1770763542 |
---|---|
Professional Name | GWEN BLOSSOM-ENGLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN F0707240) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R137912-5) |
Enumeration Date | 2007-11-09 |
Last Update Date | 2021-03-15 |