| NPI | 1922975010 |
|---|---|
| Former Name | CAROLINE CLYDE BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP034449) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP034449) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: PA RN731671) | |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-11-25 |