| NPI | 1023428414 |
|---|---|
| Former Name | TRACEY MICHELLE CROTHERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CO DR.0060785) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A135500) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2024-04-30 |