| NPI | 1851748909 |
|---|---|
| Former Name | LISA MARIE BLANKENSHIP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 77063) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 77063) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 77063) | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |