| NPI | 1225221864 |
|---|---|
| Former Name | TRACY B O'MARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA C140275) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WI 50822-020) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2018-11-28 |