| NPI | 1437314127 |
|---|---|
| Former Name | TRACEY ERIN DURKOVICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: ME 2313) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA OT012459) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2013-12-10 |