| NPI | 1891112371 |
|---|---|
| Former Name | BETHANNE SKIDMORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9330137) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 643638) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |