| NPI | 1164497061 |
|---|---|
| Former Name | TRACY LEA WOLFE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 213680) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN062503) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2017-04-18 |