| NPI | 1548540578 |
|---|---|
| Other Name | EMERALD ROSE BANAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 37829MD) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2018-10-04 |