NPI | 1356629851 |
---|---|
Other Name | KENYA R BANYARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 5717-33) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 5717-33) |
163WG0000X Registered Nurse, General Practice (Licence: WI 147235-30) | |
Enumeration Date | 2011-08-01 |
Last Update Date | 2022-01-26 |