| NPI | 1407821549 |
|---|---|
| Former Name | TRACEY D DORSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 786261) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164004) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 1161262) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2014-08-20 |