| NPI | 1518945245 |
|---|---|
| Former Name | TRACEY L TAYLOR-OVERHOLTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-127834) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN0000011846) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2016-12-01 |