NPI | 1780926378 |
---|---|
Former Name | WENDY R BLAGG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11001845) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024170539) |
Enumeration Date | 2013-03-21 |
Last Update Date | 2023-07-18 |