| NPI | 1407523327 |
|---|---|
| Former Name | JENNA C BENTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA SP024137) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP024137) |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2023-01-11 |