| NPI | 1801005970 |
|---|---|
| Former Name | CAROLYN CUPPS LOBUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G32758) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00017810) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |