| NPI | 1588707020 |
|---|---|
| Former Name | ANGELA MICHELLE BANKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041-339579) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2021-12-30 |