| NPI | 1255694121 |
|---|---|
| Professional Name | TRACI KAYE SHORTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP121618) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 630971) |
| Enumeration Date | 2012-06-16 |
| Last Update Date | 2019-06-12 |