| NPI | 1568964369 |
|---|---|
| Former Name | TRACY ELIZABETH METRAILER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CA BOC243906) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |