| NPI | 1639379886 |
|---|---|
| Former Name | SUSAN JANE BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: WA RN00109482) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |