| NPI | 1477536639 |
|---|---|
| Former Name | TRACY LYNETTE KIPLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other Surgical Technologist (Licence: NV 83618) |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other Surgical Technologist (Licence: NV 064324) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2007-07-08 |