| NPI | 1629010111 |
|---|---|
| Other Name | BETHANY ANNE MOHR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301069840) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME81314) |
| 208M00000X Hospitalist (Licence: MI 4301069840) | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2019-11-07 |