| NPI | 1588195069 |
|---|---|
| Former Name | MADELINE HECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 295929) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MN 73450) |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2024-05-06 |