| NPI | 1104925734 |
|---|---|
| Former Name | SANDRA CLAIRE HUBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA01050) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA1865) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2024-04-09 |