| NPI | 1194956631 |
|---|---|
| Former Name | LINDA FAYE BENTLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 14526) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 43237) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2012-05-09 |