| NPI | 1881868008 |
|---|---|
| Former Name | SHERRIE LYNN BALLANTINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0051809) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: CO DR.0051809) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2024-06-27 |