| NPI | 1982159356 |
|---|---|
| Former Name | ELIZABETH A BLAIR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21538) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 21538) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2024-09-06 |