| NPI | 1609621994 |
|---|---|
| Former Name | ISABEL MAE BANNISTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR 228912) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR 148822) |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-10-17 |