| NPI | 1013188754 |
|---|---|
| Former Name | TRACEY ANN PERAZONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C1-0011343) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 258019) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2015-06-10 |