| NPI | 1992077184 |
|---|---|
| Former Name | SAMANTHA ELIZABETH BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP015424) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1015679) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP015424) | |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2020-10-16 |