| NPI | 1184876492 |
|---|---|
| Former Name | VANESSA RENE BREAUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: TN 1674) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: TN 1674) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2021-09-17 |