| NPI | 1609318393 |
|---|---|
| Former Name | REBEKAH LEE BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN262600) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: GA RN262600) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: GA RN262600) | |
| 363L00000X Nurse Practitioner (Licence: GA RN262600) | |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2017-01-16 |