| NPI | 1427006444 |
|---|---|
| Former Name | JENNIFER LYNN BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101226165) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101226165) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2012-02-27 |