NPI | 1508008079 |
---|---|
Former Name | JORDAN LEE MURPHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: GA 72139) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA Student) |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: GA 003916) | |
208VP0000X (Licence: FL ME115895) | |
Enumeration Date | 2009-03-30 |
Last Update Date | 2022-05-13 |