| NPI | 1952834368 |
|---|---|
| Former Name | BRENNA ASHLEY BENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: AZ 67710) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 10955741-1205) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2023-08-15 |