| NPI | 1275035198 |
|---|---|
| Former Name | DORIS JONES BANKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95017900) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 902383) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9481531) | |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2024-01-19 |