| NPI | 1942973854 |
|---|---|
| Former Name | KIMBERLY BRYANNA BENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022934) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024189162) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704410672) | |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2025-12-03 |