| NPI | 1558897355 |
|---|---|
| Former Name | REBECCA JEAN IMRAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KY 57211) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 57211) |
| 207L00000X Anesthesiology (Licence: UT 10979100-1205) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-02-16 |