| NPI | 1285608166 |
|---|---|
| Former Name | DONNA L BALLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 45083) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX G2897) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2014-04-11 |