| NPI | 1003817875 |
|---|---|
| Former Name | NELLY KUBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: NJ 25MA07443200) |
| Additional Taxonomies | 2085R0001X (Licence: FL ME163987) |
| 2085R0001X (Licence: NY 207260) | |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2026-06-03 |