Sandra Lherisson Blake, CRNA Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · Lake Jackson, TX

NPI

1548456296

Type

Individual (Type 1)

Primary specialty

Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

367500000X

License number

661877 (TX)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-09-17

Last updated

2007-09-17