| NPI | 1619069226 |
|---|---|
| Former Name | TRACI PELCHAT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 289174) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006855) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2024-04-02 |