| NPI | 1073839817 |
|---|---|
| Former Name | TRACY HAMBLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: TX T8117) |
| Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine (Licence: TX T8117) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WA MD60450293) | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: TX T8117) | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2024-01-10 |