| NPI | 1457787624 |
|---|---|
| Former Name | HALEY ELIZABETH FITZGERALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08697) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2014-01-08 |