NPI | 1790194488 |
---|---|
Former Name | BETH ANN SIBBETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350538) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 844716) |
Enumeration Date | 2014-08-06 |
Last Update Date | 2024-05-04 |