NPI | 1528133683 |
---|---|
Former Name | LINDA J BETLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601004864) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MI 5601004864) |
Enumeration Date | 2006-11-22 |
Last Update Date | 2017-09-22 |