| NPI | 1235459603 |
|---|---|
| Former Name | SHEILA K BLAKLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01073014) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN14980) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2015-10-09 |