| NPI | 1013021609 |
|---|---|
| Former Name | KRISTINA JOY BALLINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 2988) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 1737) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2010-07-18 |