NPI | 1770079212 |
---|---|
Former Name | BETHANY RENEE CAREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 291651) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.245783) |
Enumeration Date | 2018-07-09 |
Last Update Date | 2022-06-07 |