| 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 |