| NPI | 1043737448 |
|---|---|
| Former Name | BETHANY MORGAN HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085.006286) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085006286) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2026-03-16 |