| NPI | 1053536268 |
|---|---|
| Former Name | TRACY LYNNE MCGREGOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OR 173370) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 47554) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO 47554) | |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2015-06-17 |