| NPI | 1699304105 |
|---|---|
| Former Name | CYNTHIA BETZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.006605RX) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2022-01-13 |