| NPI | 1669785465 |
|---|---|
| Former Name | CYNETHIA LASHONDA MAE BETHEL-JAITEH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: KY 3006459) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2022-10-10 |