NPI | 1740542794 |
---|---|
Professional Name | H. COURTNEY BALLINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 6332) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R-207943-7) |
Enumeration Date | 2012-06-14 |
Last Update Date | 2023-05-11 |