| NPI | 1124237490 |
|---|---|
| Former Name | TRACY MCLEES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: MO 2003026732) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |