NPI | 1952691099 |
---|---|
Former Name | JOANNA MARIE BENESTANTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 733179) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 607497) |
163W00000X Registered Nurse (Licence: TX 733179) | |
363LF0000X Nurse Practitioner, Family (Licence: PA SP011332) | |
Enumeration Date | 2011-04-11 |
Last Update Date | 2013-04-25 |