| NPI | 1124480041 |
|---|---|
| Former Name | JODELLE BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: MN 506) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R196604-6) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2018-06-28 |