NPI | 1255308417 |
---|---|
Former Name | HEATHER KEHO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 108124) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 108124) |
207LA0401X Anesthesiology, Addiction Medicine (Licence: MO 108124) | |
Enumeration Date | 2006-03-07 |
Last Update Date | 2022-02-09 |