| NPI | 1851377964 |
|---|---|
| Former Name | BETHANY L BRAMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MA 1771) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VT 055) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2011-03-09 |