| NPI | 1235199522 |
|---|---|
| Former Name | SUSAN J. HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 006752) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA02532) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2015-12-10 |