| NPI | 1417393927 |
|---|---|
| Former Name | SUSAN E BENTLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 016685) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA060649) |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA060649) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2021-08-20 |