NPI | 1659057545 |
---|---|
Former Name | CASEY BENHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 30426) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 257221) |
Enumeration Date | 2023-06-26 |
Last Update Date | 2025-07-15 |