| NPI | 1184000234 |
|---|---|
| Former Name | RUBY AMANDA STIPE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 001006690) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2018-09-20 |