| NPI | 1922456839 |
|---|---|
| Former Name | ASHLEY MICHELLE BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20318) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 216207) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2022-07-21 |