| NPI | 1841355179 |
|---|---|
| Former Name | JUDITH PHYLLIS RUBIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D31652) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101058716) |
| 208000000X Pediatrics (Licence: DC MD038482) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2022-01-10 |