NPI | 1942599253 |
---|---|
Former Name | JENNIFER LYNN BETTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NC 2016-00568) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2016-00568) |
207LP2900X Anesthesiology, Pain Medicine (Licence: NC 2016-00568) | |
Enumeration Date | 2011-04-07 |
Last Update Date | 2022-07-21 |