NPI | 1225478019 |
---|---|
Former Name | TRACY JO SNOW ALLAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q9250) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI DOS1748) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-06-26 |
Last Update Date | 2021-04-30 |