| NPI | 1255473310 |
|---|---|
| Former Name | JENNIFER BENJAMIN-WATKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 5808) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0067989) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 200301202) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD H0080367) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0102201456) | |
| 208D00000X General Practice (Licence: NC 200301202) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2024-08-08 |