| NPI | 1962795666 |
|---|---|
| Former Name | BETH ANN SQUIRES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP010985) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP010985) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP010985) | |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2015-02-25 |