| NPI | 1376797795 |
|---|---|
| Former Name | DANIELL MARGARET BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA2005) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA20005) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2010-06-07 |