NPI | 1043246994 |
---|---|
Former Name | AMY S BLAKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: WI 56132) |
Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CO DR.0058101) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: WA FE60028232) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2006-06-23 |
Last Update Date | 2022-07-03 |