NPI | 1740259803 |
---|---|
Former Name | BETH A. BAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA000916) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA051479) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2024-08-05 |