NPI | 1588990188 |
---|---|
Other Name | JENNIFER BREE BENFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0004128) |
Enumeration Date | 2009-11-02 |
Last Update Date | 2011-11-30 |