| NPI | 1821028622 |
|---|---|
| Former Name | CHERYL STEPHANIE RUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036096336) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-07-08 |