| NPI | 1215564554 |
|---|---|
| Former Name | CHRISTINA L KUBICEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9984) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 9984-33) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2024-02-05 |