| NPI | 1114462421 |
|---|---|
| Former Name | TAMERA RUSCHELLE MCNEAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: CO RN.1618090) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |