| NPI | 1528209293 |
|---|---|
| Former Name | RUBIE SUE MAYBURY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D77385) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2015-02-05 |