NPI | 1497859110 |
---|---|
Former Name | TRACY REED NAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9370083) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 128677) |
363LF0000X Nurse Practitioner, Family (Licence: NC 128677) | |
207Q00000X Family Medicine (Licence: NC 000201887) | |
Enumeration Date | 2006-09-12 |
Last Update Date | 2016-11-16 |