| NPI | 1306311477 |
|---|---|
| Former Name | JENNIFER ELIZABETH BENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OH 50.005697RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.005697RX) |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2021-04-05 |