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 |