| NPI | 1346237674 |
|---|---|
| Former Name | JANET DICKERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: MA 156037) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: MA 156037) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2019-03-15 |