| NPI | 1780772764 |
|---|---|
| Former Name | GLENDA BALLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: KY RN1062681 ARNP2810P) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-07-14 |