| NPI | 1952579997 |
|---|---|
| Former Name | ERICA KRISTEN BLEVINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 242365) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 51057) |
| 207R00000X Internal Medicine (Licence: CA A116709) | |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2021-12-21 |