| 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 |