| NPI | 1033407374 |
|---|---|
| Former Name | BETHANY MARY BOTTKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP134419) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 912446) |
| 163W00000X Registered Nurse (Licence: MN R 201505-1) | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2023-06-21 |