NPI | 1427500370 |
---|---|
Former Name | ATARA RUBIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11009841) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307856-1) |
Enumeration Date | 2016-10-26 |
Last Update Date | 2021-02-02 |