| NPI | 1407888712 |
|---|---|
| Former Name | TRACY BOYKIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-102117) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01069591A) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-05-17 |