| NPI | 1821612854 |
|---|---|
| Former Name | BETH KRISTINE CLYMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA 6812) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2022-09-14 |