| NPI | 1073933883 |
|---|---|
| Former Name | BETHANY COLWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX S8111) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2014019471) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2021-04-06 |