| NPI | 1851346506 |
|---|---|
| Former Name | KATHERINE ANN BLODGETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60066941) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L8628) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2013-10-20 |