NPI | 1215326640 |
---|---|
Former Name | STEPHAN ANDREW BETINS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: DE L1-0040564) |
Enumeration Date | 2015-01-22 |
Last Update Date | 2015-01-22 |