| NPI | 1598853129 |
|---|---|
| Professional Name | TAMMERA L PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10004691A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 2054) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2024-12-30 |