| NPI | 1295139327 | 
|---|---|
| Professional Name | BETH BASHAM | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IA 953628)  | 
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.010140)  | 
| Enumeration Date | 2014-10-17 | 
| Last Update Date | 2024-08-13 |