| NPI | 1013193754 |
|---|---|
| Former Name | TRACY LARAINE CHASE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704231405) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2016-01-19 |