| NPI | 1619359098 |
|---|---|
| Former Name | TRACY WEISBROD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OH A.02063) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: WA LD60573251) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2019-08-20 |