| NPI | 1457532749 |
|---|---|
| Former Name | ANGELA JO BANKSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: OH RN268536) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.021603) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2017-08-30 |