| NPI | 1750786059 |
|---|---|
| Former Name | SARAH HUCKEBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 2626) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 2988) |
| 363AS0400X Physician Assistant, Surgical (Licence: TN 2626) | |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2021-07-27 |