| NPI | 1861783359 |
|---|---|
| Former Name | KATHRYN BLAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301098084) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301098084) | |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2017-01-16 |