| NPI | 1770751588 |
|---|---|
| Former Name | BETH ANN OSTERHOUT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002635A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28114500A) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2021-11-02 |