| NPI | 1447457965 |
|---|---|
| Former Name | TAMMI L BALK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 003053) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA 3053) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2024-04-03 |