| NPI | 1598911349 |
|---|---|
| Former Name | BETHANY NOELLE TEER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q5517) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 24909) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2015-09-23 |