| NPI | 1790080034 |
|---|---|
| Former Name | AMANDA M RUBIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1557) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 002171) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2016-01-13 |