NPI | 1740397041 |
---|---|
Former Name | KATHLEEN MARY BENDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP9333175) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30000510) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2012-09-07 |