NPI | 1952336679 |
---|---|
Former Name | CARISSA HEIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME83895) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME83895) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2022-06-30 |