| NPI | 1639630395 |
|---|---|
| Former Name | EMILY BLATZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.144828) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2022-08-25 |