| NPI | 1881456564 |
|---|---|
| Former Name | MARY BETH BURKHOLDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN660134) |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2025-01-29 |