| NPI | 1669774139 |
|---|---|
| Former Name | MEGAN NICOLE BANIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0051991) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.018345) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2023-06-05 |