| NPI | 1154501807 |
|---|---|
| Former Name | TRACEY DAWN MACKLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP116428) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP116428) |
| Enumeration Date | 2007-11-10 |
| Last Update Date | 2025-07-14 |