NPI | 1346351749 |
---|---|
Former Name | BETH LOREN WHITMARSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 010023) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 10023) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2023-07-07 |