| NPI | 1922782663 |
|---|---|
| Former Name | JOSEPHINE BLACKBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10085764) |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2023-06-27 |