NPI | 1306311477 |
---|---|
Former Name | JENNIFER ELIZABETH BENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.005697RX) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OH 50.005697RX) |
Enumeration Date | 2018-10-04 |
Last Update Date | 2024-07-03 |