| NPI | 1861857336 |
|---|---|
| Former Name | JENNIFER RUBIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60647417) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60017401) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2021-04-09 |