| NPI | 1619120870 |
|---|---|
| Former Name | BETH A GOURLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 3314) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R1602164) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2022-09-19 |