| NPI | 1235566548 |
|---|---|
| Former Name | BETHANY ANN COTTINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.007581RX) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-04536) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2023-12-04 |