NPI | 1295117091 |
---|---|
Former Name | SENTORITA BENNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 19958) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 19958) |
Enumeration Date | 2015-06-29 |
Last Update Date | 2025-07-22 |