| NPI | 1497920599 |
|---|---|
| Former Name | TRACY LINDH UTELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP445584) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2013-02-01 |