NPI | 1548344468 |
---|---|
Former Name | NATALIE L. BALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 011322) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0003479) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2023-10-04 |