NPI | 1124407655 |
---|---|
Former Name | ELIZABETH ANN BENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: IN 01086358A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 66561) |
207R00000X Internal Medicine (Licence: IN 01086358A) | |
208000000X Pediatrics (Licence: IN 01086358A) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-05-29 |
Last Update Date | 2023-02-28 |