| NPI | 1831493212 |
|---|---|
| Former Name | KARLA M BALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601005806) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9105389) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2022-07-21 |