Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | SP001757G | PA |
NPI | 1073850418 |
---|---|
Provider Name | Kathy Zubik |
First Address | Lebanon, PA 17042-9606 |
Second Address | Lebanon, PA 17042-9606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2013 |
Last Update Date | 04/01/2013 |