| NPI | 1770975302 |
|---|---|
| Former Name | REBECCA LYNN BLOME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000317) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 660348) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-05-18 |