| NPI | 1316488612 |
|---|---|
| Former Name | KAITLIN FRANCES BLATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125-070422) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036151504) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2025-03-13 |