| NPI | 1881254225 |
|---|---|
| Former Name | AIRELLE RUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MD R197994) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R197994) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: MD R197994) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: MD R197994) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: MD R197994) | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2022-02-25 |