NPI | 1184007502 |
---|---|
Former Name | LINDSAY D BANKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 224208) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 119673) |
Enumeration Date | 2015-07-02 |
Last Update Date | 2015-07-17 |