NPI | 1477051720 |
---|---|
Former Name | TRACY BEEMAN OSTREWICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX AP136300) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136300) |
Enumeration Date | 2018-01-31 |
Last Update Date | 2025-07-09 |