| NPI | 1376104232 |
|---|---|
| Former Name | BETHANY ANN COPELAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60977637) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2022-10-03 |