NPI | 1619190212 |
---|---|
Other Name | GINNY BENNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CT 001713) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 00173) |
364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CT 0281025-01) | |
Enumeration Date | 2007-04-11 |
Last Update Date | 2023-03-07 |