| NPI | 1376318782 |
|---|---|
| Former Name | BETSY VANDAMME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014850A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28167335A) |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2024-01-25 |