| NPI | 1013700087 |
|---|---|
| Former Name | TRACIE LEE HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WI 305965) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MN 820898) |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-23 |