NPI | 1730786591 |
---|---|
Former Name | VICTORIA LYNN BENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1025613) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 881108) |
Enumeration Date | 2020-10-05 |
Last Update Date | 2021-01-05 |