| NPI | 1730496621 |
|---|---|
| Former Name | BETHANY JEAN GIACOBOZZI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN267535) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2012-07-05 |