NPI | 1861862658 |
---|---|
Former Name | BETH ANN LABBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012439) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 277002035) |
Enumeration Date | 2015-10-06 |
Last Update Date | 2022-12-27 |