| NPI | 1811149156 |
|---|---|
| Former Name | RICHELLE MELANIE BLANCHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: ND 12939) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: ND RL10955) |
| 207N00000X Dermatology (Licence: MN 104460) | |
| 207N00000X Dermatology (Licence: MN 52270) | |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2015-09-23 |