NPI | 1396225041 |
---|---|
Former Name | GINA M KUBIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IA K130920) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MN 6084) |
363LN0000X Nurse Practitioner, Neonatal (Licence: MN 6084) | |
Enumeration Date | 2018-08-21 |
Last Update Date | 2020-07-14 |