| NPI | 1821438680 |
|---|---|
| Former Name | BETHANY KAY BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN177726) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2020-05-28 |