NPI | 1902325756 |
---|---|
Former Name | BETH LYNN MCLEAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011533) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3011533) |
Enumeration Date | 2017-09-13 |
Last Update Date | 2023-09-18 |