| NPI | 1942664354 | 
|---|---|
| Former Name | CADY BECKWITH | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20104)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 339638)  | 
| Enumeration Date | 2016-04-12 | 
| Last Update Date | 2023-10-04 |