| NPI | 1295172815 |
|---|---|
| Former Name | TRACY M. STEPHANEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 66966-21) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT015450) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2022-07-21 |