| NPI | 1619475779 |
|---|---|
| Former Name | HEATHER RENEE BANKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007791A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28164199A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71007791A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 7100791A) | |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2025-06-20 |