| NPI | 1538305800 |
|---|---|
| Former Name | TRACY LYTLE SADDLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13915-33) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 13849) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 22889) | |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2024-04-04 |