| NPI | 1407310907 |
|---|---|
| Former Name | FAITH ANN BENTLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2019002854) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041414520) |
| 163W00000X Registered Nurse (Licence: MO 2006021082) | |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2024-05-31 |