NPI | 1336115096 |
---|---|
Former Name | CYNTHIA EDYTHE BUBAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 2235692) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 2235692) |
Enumeration Date | 2006-02-23 |
Last Update Date | 2011-05-13 |