| NPI | 1942326913 |
|---|---|
| Former Name | KATHERINE ELIZABETH BALLENGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301083464) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301083464) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2011-06-10 |