NPI | 1841640331 |
---|---|
Former Name | COURTNEY BLANDFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: KY 54118) |
Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IN 01084256A) |
Enumeration Date | 2016-06-15 |
Last Update Date | 2022-04-19 |