| NPI | 1063646586 |
|---|---|
| Former Name | KATHLEEN ELIZABETH BLANEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2019-00296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 273160) |
| 207R00000X Internal Medicine (Licence: MT 39417) | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2021-03-15 |