| NPI | 1568876043 |
|---|---|
| Former Name | BETHANY CLAIRE LOOMIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 5843) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 89268) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2022-07-21 |