| NPI | 1336198910 |
|---|---|
| Former Name | ELLEN PAULINE BALLIET |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD167310) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 37891-020) |
| 207P00000X Emergency Medicine (Licence: ND 6951) | |
| 207P00000X Emergency Medicine (Licence: CA G86276) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2015-08-18 |