NPI | 1265820112 |
---|---|
Former Name | ANNA K. KUBLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS20232) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS021520) |
207Q00000X Family Medicine (Licence: CA 20A15206) | |
Enumeration Date | 2014-12-30 |
Last Update Date | 2023-09-25 |