| 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 |