| NPI | 1710319306 |
|---|---|
| Former Name | MARY BETH BENTLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171072) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2023-10-20 |