NPI | 1679991269 |
---|---|
Former Name | BETHANY J ZIMMERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: MN 77170) |
Additional Taxonomies | 208600000X Surgery (Licence: AR E-15476) |
2086S0102X Surgery, Surgical Critical Care (Licence: AR E-15176) | |
2086S0120X Surgery, Pediatric Surgery (Licence: AR E-15176) | |
Enumeration Date | 2014-04-01 |
Last Update Date | 2025-02-19 |