| NPI | 1104751320 |
|---|---|
| Former Name | BETHANY SANDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND 205339) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND 205339) |
| Enumeration Date | 2026-06-17 |
| Last Update Date | 2026-07-07 |