| NPI | 1861778615 |
|---|---|
| Former Name | LAUREL ANN BENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 11413) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 5005) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2021-03-10 |