| NPI | 1144482399 |
|---|---|
| Former Name | ELIZABETH A BALLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME134299) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 77551) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01067157A) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2018-08-16 |