| NPI | 1679875223 |
|---|---|
| Former Name | HEATHER DAWN BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A115878) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A115878) |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: CA A115878) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2015-02-25 |