| NPI | 1588166318 |
|---|---|
| Former Name | MARGO NAGEL RUBIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 00204041) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2019-06-29 |