| NPI | 1740276534 |
|---|---|
| Former Name | BENITA L SWARTOUT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 2074) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL DO 810) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2020-06-17 |