| NPI | 1336454024 |
|---|---|
| Former Name | BETHANY CHIMENTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP06168) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA RN101516) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2011-03-16 |