| NPI | 1194759357 |
|---|---|
| Former Name | SHALLA M KHALIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08411) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 15-01112) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2014-08-12 |