NPI | 1740487776 |
---|---|
Former Name | AMBER RAE WHITTENBURG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX M6954) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX M6954) |
Enumeration Date | 2007-07-02 |
Last Update Date | 2022-01-25 |