| NPI | 1760756167 |
|---|---|
| Former Name | MARY BETH WEATHERFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: SC 112901) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |