| NPI | 1336109123 |
|---|---|
| Former Name | BETH ANN MEDFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WI 62010) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AK 5948) |
| 208000000X Pediatrics (Licence: MN 54516) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MN 105628) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2023-10-12 |