NPI | 1760531180 |
---|---|
Former Name | CHRISTINE D BLAKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: ME DO2350) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME DO2350) |
207Q00000X Family Medicine (Licence: ME DO2350) | |
Enumeration Date | 2007-01-09 |
Last Update Date | 2023-12-14 |