NPI | 1447820204 |
---|---|
Former Name | TRACY LYNN MUELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WI 11276) |
Enumeration Date | 2021-06-24 |
Last Update Date | 2024-04-05 |