| NPI | 1609937507 |
|---|---|
| Former Name | BETHANY HOMYAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA052224) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MA052224) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2019-06-20 |