| NPI | 1083334114 |
|---|---|
| Former Name | ALANNA HUBBARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: IN 36003419A) |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-08-30 |