| NPI | 1477595916 |
|---|---|
| Former Name | JEANNE MARIE BETZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: MD R112789) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD r112789) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2019-04-17 |