NPI | 1477028256 |
---|---|
Former Name | KRITA NICOLE BENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 24900) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 225382) |
363LA2200X Nurse Practitioner, Adult Health (Licence: TN 24900) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: TN 24900) | |
Enumeration Date | 2018-10-09 |
Last Update Date | 2024-01-10 |