NPI | 1265770010 |
---|---|
Former Name | JAMI ALYSSA RUBIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP025348) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704294965) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP018828) | |
Enumeration Date | 2013-01-29 |
Last Update Date | 2022-02-10 |