NPI | 1396062618 |
---|---|
Former Name | MISTY BENFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 084704) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 201456) |
Enumeration Date | 2010-04-26 |
Last Update Date | 2015-09-18 |