NPI | 1770783714 |
---|---|
Former Name | BECKY BENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: SD CP000970) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: SD CP000970) |
363LA2100X Nurse Practitioner Acute Care (Licence: NE 110863) | |
363LA2200X Nurse Practitioner Adult Health (Licence: NE 110863) | |
Enumeration Date | 2007-07-18 |
Last Update Date | 2019-04-19 |