| NPI | 1669033981 |
|---|---|
| Former Name | MEGAN DAWN BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VT 042.0016237) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH RT3459) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2023-05-02 |