| NPI | 1902956444 |
|---|---|
| Former Name | BETH RENEE FREELING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X (Licence: PA SC006330) |
| Additional Taxonomies | 213ES0131X (Licence: NY 005650) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2012-08-31 |