| NPI | 1548258452 |
|---|---|
| Former Name | JUDITH A KUPKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 22789) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71002231A) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2013-02-22 |