NPI | 1033210372 |
---|---|
Former Name | ALEXANDRA HUBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60147999) |
Additional Taxonomies | 363A00000X Physician Assistant |
363A00000X Physician Assistant (Licence: FL PA9102026) | |
Enumeration Date | 2006-09-26 |
Last Update Date | 2020-12-03 |