| NPI | 1336848381 |
|---|---|
| Former Name | BETHANY E NELMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 71013671A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28207345A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71013671A) | |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-10-20 |