| NPI | 1104914282 |
|---|---|
| Former Name | BETH OTTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NE 110332) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NE 110332) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-02-01 |