| NPI | 1356611354 |
|---|---|
| Former Name | BETH ANNE BANDKAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5601007309) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601007309) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2023-12-20 |