| NPI | 1215219373 |
|---|---|
| Former Name | STEPHANIE CLAIRE BANGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95001246) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95042020) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95001246) | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2023-04-03 |