| NPI | 1790237949 |
|---|---|
| Former Name | BETHANY RENEE POHLMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2016034328) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016034328) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2022-12-12 |