| NPI | 1851197834 |
|---|---|
| Former Name | KATRINA LEE BLANNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: PA SP032225) |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-02-20 |