| NPI | 1992865737 |
|---|---|
| Former Name | BETH ISMARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ RN077619) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ 077679) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2019-12-12 |