| NPI | 1942251129 |
|---|---|
| Former Name | PAMELA GALE VICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: GA 057855) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2001016) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2022-02-09 |