| NPI | 1558765040 |
|---|---|
| Former Name | TAMARYN PARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110006015) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA09469) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2019-09-09 |