| NPI | 1780193177 |
|---|---|
| Professional Name | SONDRA MARIE BANTIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 10225) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9209588) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9209588) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IA H155677) | |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2023-10-16 |