| NPI | 1851084230 |
|---|---|
| Former Name | AMBER NICOLE BENNICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 144059) |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-05-31 |