| NPI | 1588988042 |
|---|---|
| Former Name | AMY MARIE BENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60355949) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: WA ML 60157913) | |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2013-04-12 |