NPI | 1013216530 |
---|---|
Former Name | CORRINE BLUMLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: WI 85433) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD462776) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-03-23 |
Last Update Date | 2025-06-17 |