NPI | 1154536894 |
---|---|
Other Name | STELLA RUCKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 134845) |
Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TX 134845) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2018-03-08 |