| NPI | 1346499738 |
|---|---|
| Former Name | TRACY L BECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 3486-33) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WI 116517-30) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2013-11-21 |