NPI | 1134539125 |
---|---|
Former Name | SHARON D RUFFIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 2074876) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 18646) |
Enumeration Date | 2014-04-30 |
Last Update Date | 2018-05-07 |