NPI | 1558696112 |
---|---|
Former Name | CHRISTINE KUBIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30002086) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP30002086) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WA AP30002086) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP30002086) | |
Enumeration Date | 2009-10-14 |
Last Update Date | 2009-10-14 |