| NPI | 1912347220 |
|---|---|
| Former Name | BETH ANN RYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WV 2160) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055185) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2022-07-07 |