| NPI | 1538110085 |
|---|---|
| Former Name | BRIANA RENEE BENNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA 36839) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 46668-020) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2014-10-22 |