NPI | 1710900642 |
---|---|
Other Name | BRUNETTE M. KING BLUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 121588) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: LA 03634R) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 03634R) | |
Enumeration Date | 2006-07-25 |
Last Update Date | 2010-11-24 |