NPI | 1811270549 |
---|---|
Former Name | REBECCA ANNE BLAINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 058131-23) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2258756) |
Enumeration Date | 2011-09-20 |
Last Update Date | 2025-08-20 |