| NPI | 1205550407 |
|---|---|
| Former Name | TRACY LEIGH PACILIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5017240) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NC 214675) |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2022-11-15 |