NPI | 1407290083 |
---|---|
Former Name | SHEREECE T BENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY AG0815057) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 646173) |
Enumeration Date | 2013-04-25 |
Last Update Date | 2016-08-30 |