| NPI | 1477719375 |
|---|---|
| Former Name | ANGELA MARIE LUBKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036128165) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125-052837) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2024-07-03 |