| NPI | 1730371824 |
|---|---|
| Former Name | ASHLEY REBEKAH BALSAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MN 51473) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 51473) |
| 207R00000X Internal Medicine (Licence: MN 51473) | |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2024-04-30 |