NPI | 1417306838 |
---|---|
Former Name | BETHANY A KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2010026479) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 7009-33) |
367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209021707) | |
Enumeration Date | 2016-06-07 |
Last Update Date | 2020-11-25 |