| NPI | 1992860449 |
|---|---|
| Former Name | CARRIE A HUBBARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA057558) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0002045) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2024-07-16 |