| NPI | 1841607447 |
|---|---|
| Former Name | HANNAH BLONDKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179187) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704272393) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2020-08-20 |