| NPI | 1467403584 |
|---|---|
| Former Name | TRACY JOAN THORNHILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002074A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28150240A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71002074A) | |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2020-09-25 |