NPI | 1538788781 |
---|---|
Former Name | BETHANY BOCZAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AZ 72607) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 72607) |
Enumeration Date | 2020-04-08 |
Last Update Date | 2025-03-26 |