NPI | 1245518240 |
---|---|
Former Name | BETHANY CAY STRANGES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OH 50.003298) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.003298) |
363AS0400X Physician Assistant, Surgical (Licence: OH 50.003298) | |
Enumeration Date | 2011-07-26 |
Last Update Date | 2017-05-09 |