| NPI | 1477924678 |
|---|---|
| Professional Name | TRACY S. STAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: 819174) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |