| NPI | 1447238357 |
|---|---|
| Former Name | SHEILA BANKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: KY PA254) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA254) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2021-05-12 |