NPI | 1699236133 |
---|---|
Former Name | CHARLOTTE SOPHIA BLANZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD61522450) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61522450) |
Enumeration Date | 2019-03-27 |
Last Update Date | 2024-08-28 |