NPI | 1598535148 |
---|---|
Former Name | SARAH ELIZABETH BENTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-13868) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-13868) |
Enumeration Date | 2024-01-04 |
Last Update Date | 2024-01-29 |