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 |