| NPI | 1851025993 |
|---|---|
| Former Name | CATHERINE ABIGIAL BANISTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11020355) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11020355) |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2024-06-20 |