| NPI | 1679902803 |
|---|---|
| Former Name | KIMBERLY MARIE BENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA60679) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 007055) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2022-05-19 |