| NPI | 1578663142 |
|---|---|
| Former Name | SANDRA KATHLEEN BALLEW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 200550065NP) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: CA 430476) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NP9709) | |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2008-06-28 |