NPI | 1982958948 |
---|---|
Former Name | BETHANY B SKELTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 18110) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC 100208) |
Enumeration Date | 2012-10-30 |
Last Update Date | 2022-07-21 |