| NPI | 1376512285 |
|---|---|
| Former Name | BARBARA R HAUTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C05674) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA052236) |
| 363AS0400X Physician Assistant, Surgical (Licence: PA MA052236) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2019-12-11 |