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 |