NPI | 1114021482 |
---|---|
Former Name | ELIZABETH M BENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601006896) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA04209) |
Enumeration Date | 2006-09-08 |
Last Update Date | 2024-12-11 |