| NPI | 1255694162 |
|---|---|
| Former Name | BETH M PRENDERGAST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH COA.13759-NP) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: OH RN.333879) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2017-06-06 |