| NPI | 1871010306 |
|---|---|
| Former Name | KATHLEEN ELIZABETH RUBIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP60786815) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60786815) |
| 363L00000X Nurse Practitioner (Licence: OR 202203554NP-PP) | |
| 363LF0000X Nurse Practitioner Family (Licence: OR 202203554NP-PP) | |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP60786815) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 202203554NP-PP) | |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2023-04-28 |