| NPI | 1760404016 |
|---|---|
| Former Name | DEBORAH LYNN BALLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 1546) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2024-03-19 |