NPI | 1982088712 |
---|---|
Former Name | BETH ANN PARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010544A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010902) |
Enumeration Date | 2015-07-10 |
Last Update Date | 2025-07-09 |