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 |