NPI | 1528413622 |
---|---|
Former Name | KARA ELIZABETH HUBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 331703) |
Additional Taxonomies | 133V00000X Dietitian, Registered |
133V00000X Dietitian, Registered (Licence: KY 168476) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-27 |
Last Update Date | 2025-04-30 |