NPI | 1710090725 |
---|---|
Former Name | MOLLY PURNELL BLACKLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD00046883) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00046883) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2017-05-01 |