| NPI | 1558144501 |
|---|---|
| Former Name | CHRISTINE BETHKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 10615) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: MN 10615) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2024-09-11 |