NPI | 1649739905 |
---|---|
Former Name | SARAH DIANE BANKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0067050) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-03-17 |
Last Update Date | 2022-10-24 |