| NPI | 1275057325 |
|---|---|
| Former Name | TRACEY JUDD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.021589) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH APRN.CNP.021589) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2024-12-20 |