NPI | 1366609604 |
---|---|
Other Name | BLAIR MULLNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME150127) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD040981) |
Enumeration Date | 2008-05-22 |
Last Update Date | 2023-07-21 |