| NPI | 1093165441 |
|---|---|
| Former Name | TRACEY LYNN MCFALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016004486) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: MO 137348) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2025-11-06 |