| NPI | 1184015281 |
|---|---|
| Former Name | TRACY WHITTAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60520670) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA RN60021251) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2026-05-06 |