| NPI | 1356775670 |
|---|---|
| Former Name | KATHRYN CELESTE BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704260207) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704260207) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2018-12-04 |