| NPI | 1669014874 |
|---|---|
| Former Name | BETHANY G CORKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11005467) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9385387) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2023-04-09 |