| NPI | 1780939561 | 
|---|---|
| Former Name | KATIE M RUFFIN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9301121) | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704296775) | |
| Enumeration Date | 2012-07-18 | 
| Last Update Date | 2017-10-17 |