| NPI | 1326298175 |
|---|---|
| Former Name | SUSAN LYNN BENZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 140697) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 005109) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2022-01-13 |