| NPI | 1922214527 |
|---|---|
| Former Name | CARRIE LYN KUBITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0102203413) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101015707) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2024-02-24 |