| 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 | 2025-06-18 |