| NPI | 1053859595 |
|---|---|
| Former Name | ALICE CELESTE BALLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9373496) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA223045) |
| Enumeration Date | 2017-02-04 |
| Last Update Date | 2024-01-19 |