NPI | 1003991209 |
---|---|
Former Name | TRACY LYNN POOLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30007537) |
Enumeration Date | 2006-10-26 |
Last Update Date | 2012-03-27 |