NPI | 1407917982 |
---|---|
Former Name | TRACY W BRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000006612) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN RN0000089572) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2016-03-24 |