NPI | 1679866305 |
---|---|
Former Name | KATRINA BLANCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036141229) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-05-27 |
Last Update Date | 2021-10-25 |