| NPI | 1073565222 |
|---|---|
| Former Name | ANN BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NN0421880) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP003714C) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2016-08-31 |