NPI | 1851375364 |
---|---|
Former Name | RUTH M RUBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002005A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 71002005A) |
363L00000X Nurse Practitioner (Licence: IN 28148722A) | |
Enumeration Date | 2005-11-30 |
Last Update Date | 2023-08-29 |