| NPI | 1609373034 |
|---|---|
| Former Name | TRACY ELIZABETH NOTARIO, DUARTE, HILEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95007681) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |