NPI | 1538573290 |
---|---|
Former Name | BETHANY ANNE TYNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0058291) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0005354) |
Enumeration Date | 2014-06-19 |
Last Update Date | 2021-06-16 |