| NPI | 1912238080 |
|---|---|
| Former Name | DAWN RAE BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA RN60103201) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NPF 9332) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2024-05-07 |