| NPI | 1679892707 |
|---|---|
| Former Name | ASHLEE KAYE BALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036141459) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 4410) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2016-09-30 |