| NPI | 1992351415 |
|---|---|
| Former Name | CERA BLUNK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA062121) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA005524) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2024-02-27 |