| NPI | 1578058988 |
|---|---|
| Former Name | BETHANY AMARIS MAGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C06855) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA062413) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2021-05-07 |