| NPI | 1356475008 |
|---|---|
| Former Name | KRISTIN ANN KUBRICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 0167921) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 066568) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2018-11-20 |