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 |