| NPI | 1619461357 |
|---|---|
| Former Name | KATI ANN RUBALCAVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A127769) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA A127769) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: IA A127769) | |
| Enumeration Date | 2018-06-17 |
| Last Update Date | 2023-01-30 |