NPI | 1245618263 |
---|---|
Former Name | ANNA CRIST BENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.133585) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-05-11 |
Last Update Date | 2022-10-04 |