| NPI | 1427368448 |
|---|---|
| Former Name | TRACY LYNN SHARPE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IA DO-04824) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA 17997) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2025-11-04 |