| NPI | 1538172176 |
|---|---|
| Other Name | BRENDA O'VAUGHN RUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: TN RN0119300) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |