NPI | 1154630473 |
---|---|
Former Name | MANDI TE BENTON CUMMINGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI APRN-1301) |
Enumeration Date | 2010-10-04 |
Last Update Date | 2024-10-28 |