| NPI | 1568504637 |
|---|---|
| Former Name | HEATHER MARIE NEWCOMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 03074) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 2003261A) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: IN 02003261A) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2019-08-16 |