| NPI | 1699034538 |
|---|---|
| Former Name | LESANDRA DEANNA BENGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN285484) |
| Enumeration Date | 2012-05-13 |
| Last Update Date | 2017-08-02 |