| NPI | 1417335738 |
|---|---|
| Former Name | TRACY SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3010640) |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: KY 3010640) |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IN 71005716A) | |
| 363LF0000X Nurse Practitioner Family (Licence: IN 71005716A) | |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2018-12-06 |