| NPI | 1366948226 |
|---|---|
| Former Name | AMY RENEE BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP137160) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP137160) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP137160) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP137160) | |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2022-02-17 |