| NPI | 1568619278 |
|---|---|
| Former Name | BETHANNE HOGG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: DE L1-0043357) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024167893) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2021-10-28 |