| NPI | 1275844011 |
|---|---|
| Former Name | BOBBIE JO BANKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R156834) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R-156834-7) |
| Enumeration Date | 2010-06-26 |
| Last Update Date | 2014-02-14 |