| NPI | 1720251028 |
|---|---|
| Former Name | BETHANN HUBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71002704A) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IN 28160659A) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71002704A) | |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2025-10-21 |