NPI | 1962834127 |
---|---|
Former Name | ALAYNE THOMPSON BENASSI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN302521) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 23379) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R177566) | |
Enumeration Date | 2013-07-30 |
Last Update Date | 2022-09-01 |