| NPI | 1013216530 |
|---|---|
| Former Name | CORRINE BLUMLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD462776) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2019-01-24 |