| NPI | 1932572450 |
|---|---|
| Former Name | BLAKE HOUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014195) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP015247) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5014195) | |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2024-07-30 |