| NPI | 1851581573 |
|---|---|
| Former Name | BETHANY R DANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 015254) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TN PA1507) |
| 363A00000X Physician Assistant (Licence: NH 0796) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2011-10-25 |