| NPI | 1093060550 |
|---|---|
| Former Name | BETHANY BRYN ALLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3737) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 0905) |
| 363AM0700X Physician Assistant, Medical (Licence: CO PA0004764) | |
| 363AM0700X Physician Assistant, Medical (Licence: SC 3737) | |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2022-03-02 |