NPI | 1578852752 |
---|---|
Former Name | ABIGAIL M BALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA23153) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: HI AMD-404) |
Enumeration Date | 2011-03-28 |
Last Update Date | 2019-11-18 |