| NPI | 1427385368 |
|---|---|
| Former Name | BETHANY LEIGH CROSBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA.200313) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA07362) |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2016-01-26 |