| NPI | 1629512199 |
|---|---|
| Former Name | BRITNEY BALLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9326096) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9326096) |
| Enumeration Date | 2016-12-18 |
| Last Update Date | 2019-11-04 |