| NPI | 1508929969 |
|---|---|
| Former Name | SUSAN RUFNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV PA1953) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 5548) |
| 363A00000X Physician Assistant (Licence: WI 4103) | |
| 363A00000X Physician Assistant (Licence: TX PA03559) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2018-04-23 |