| NPI | 1528494366 |
|---|---|
| Former Name | BETHANY ANNE BOYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704248586) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |