| NPI | 1659011211 |
|---|---|
| Former Name | CARRIE JEAN BENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 20A21599) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2025-08-20 |