| NPI | 1578717658 |
|---|---|
| Former Name | STACEY ELAINE RUBIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N4047) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX N4047) |
| Enumeration Date | 2008-11-16 |
| Last Update Date | 2025-02-13 |