| NPI | 1952512683 |
|---|---|
| Former Name | KATHERINE BIBB BENTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: WA MD60277286) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60277286) |
| 208000000X Pediatrics (Licence: UT 7030213) | |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: UT 7030213-1205) | |
| 208D00000X General Practice (Licence: GA 58945) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2022-01-06 |