| NPI | 1316413826 |
|---|---|
| Former Name | KATHRYN BALLONI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2329188) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NH 075817-23) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2020-07-31 |