| NPI | 1578600185 |
|---|---|
| Former Name | TRACEY LYNN SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 17002) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 61409) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2023-09-26 |