| NPI | 1154631612 |
|---|---|
| Former Name | TRACEY LEE CONNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SA2100X Clinical Nurse Specialist Acute Care (Licence: OR 201070010CNS) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: OR 201070010CNS) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |