| NPI | 1568961456 |
|---|---|
| Former Name | TAMEKA RUCKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN203695) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-165183) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2020-05-27 |