| NPI | 1245343573 | 
|---|---|
| Former Name | BEVORLY FHAMORE CAIN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA RN614337) | 
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NP 14109) | 
| Enumeration Date | 2006-08-17 | 
| Last Update Date | 2014-12-30 |