NPI | 1811298003 |
---|---|
Former Name | LISA ANN BALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002782) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ APN 3856) |
363LF0000X Nurse Practitioner, Family (Licence: AZ RN139100) | |
Enumeration Date | 2010-11-04 |
Last Update Date | 2023-11-16 |