| NPI | 1427310861 |
|---|---|
| Former Name | ELISABETH RHACHAEL BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2016-09-07 |