| NPI | 1457915613 |
|---|---|
| Former Name | BETHANY J MCNAUGHTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112768) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NE 112768) |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-04-23 |