| NPI | 1558688556 |
|---|---|
| Former Name | SHAUNA HUBISZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA7978) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA 7353) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2021-09-02 |