| NPI | 1821416694 |
|---|---|
| Former Name | KRISTEN MICHELLE BANKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MT 80025) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2018-01027) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2023-02-07 |