| NPI | 1306240064 |
|---|---|
| Former Name | AMYE E BANASZAK-RAFFAELE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP014303) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014303) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2023-05-09 |