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 | 2024-05-28 |