Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1538494000 |
---|---|
Provider Name | Ms. Julie Ann Benoit |
First Address | Darby, PA 19023-1208 |
Second Address | Darby, PA 19023-1208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2009 |
Last Update Date | 16/10/2009 |