| NPI | 1063957587 |
|---|---|
| Former Name | TRACY ANN MCDONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |