| NPI | 1942631296 |
|---|---|
| Former Name | BETH ANN BROSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 3008418) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1117376) |
| 363L00000X Nurse Practitioner (Licence: KY 3008418) | |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2019-10-02 |