NPI | 1548557523 |
---|---|
Former Name | LAURA KUBICA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 15191538) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS017729) |
Enumeration Date | 2011-06-29 |
Last Update Date | 2021-07-07 |