NPI | 1386088508 |
---|---|
Former Name | BROOKE GINTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: KY 49059) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX R1704) |
Enumeration Date | 2013-04-18 |
Last Update Date | 2020-12-10 |