| NPI | 1730176785 |
|---|---|
| Former Name | KRISTINE LYNN BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 15810) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 15810) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2007-08-10 |