| NPI | 1518134386 |
|---|---|
| Former Name | JENNIFER A BENGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: KY 244139) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: KY 244139) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2021-07-15 |