NPI | 1346593035 |
---|---|
Other Name | KATHY POWELL BANKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 17085) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-054361) |
363LF0000X Nurse Practitioner, Family (Licence: TN 78418) | |
363L00000X Nurse Practitioner (Licence: MS 810540) | |
Enumeration Date | 2012-10-18 |
Last Update Date | 2024-02-15 |