| NPI | 1952530438 |
|---|---|
| Former Name | BETYSHIA J WATSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101254362) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A120734) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2024-06-24 |