| NPI | 1902408172 |
|---|---|
| Former Name | ABBI BLANCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277002995) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.022268) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2024-12-20 |