NPI | 1326191230 |
---|---|
Former Name | BETHANIE C KELLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0024166833) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0017138536) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2025-08-25 |