NPI | 1881910610 |
---|---|
Former Name | RUBINA S SAMUEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA06695) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-04-19 |
Last Update Date | 2016-02-18 |