NPI | 1174063655 |
---|---|
Former Name | BETHANY ABRACZINSKAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP014615) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00634800) |
364SF0001X Clinical Nurse Specialist, Family Health (Licence: NJ 26NJ00634800) | |
Enumeration Date | 2017-03-02 |
Last Update Date | 2023-03-29 |