| NPI | 1669714861 |
|---|---|
| Former Name | BETHANY JOY BRISBIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OH 35.126106) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.126106) |
| 208000000X Pediatrics (Licence: OH 35.126106) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2018-06-14 |