| NPI | 1295757714 |
|---|---|
| Former Name | BETH GLEASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 15064) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA NMW1655) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2009-09-23 |