| NPI | 1285990044 |
|---|---|
| Former Name | DIANA LEIGH RUBINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 34689) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 00201958) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2019-01-14 |