NPI | 1639418239 |
---|---|
Other Name | JACKIE A BALARBAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX F1012339) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 777072) |
363LF0000X Nurse Practitioner, Family (Licence: TX AP123129) | |
Enumeration Date | 2013-02-04 |
Last Update Date | 2022-11-17 |