| NPI | 1164465803 |
|---|---|
| Former Name | RUTH L TUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 220152) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NY 220152) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2011-11-08 |