| NPI | 1235652306 |
|---|---|
| Former Name | KATHRYN HUBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R220774) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R220774) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2024-01-25 |