| NPI | 1063407732 |
|---|---|
| Former Name | TRACY D GUNTER-JUSTICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IN 01070168A) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MO 2008026918) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IA 35139) | |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2021-02-05 |