| NPI | 1700338217 |
|---|---|
| Former Name | BETHANY G HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 236161) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-143362) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2022-03-21 |