| 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 |