| NPI | 1679857502 | 
|---|---|
| Former Name | SARA J BANTER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003707A) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71003707A) | 
| Enumeration Date | 2011-10-11 | 
| Last Update Date | 2025-03-21 |