| NPI | 1659370161 |
|---|---|
| Former Name | CHRISTA ANN RUBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KS 04-31985) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2006018662) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2014-11-25 |