NPI | 1629537758 |
---|---|
Former Name | TRACY ANN LEDGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2312967) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2312967) |
Enumeration Date | 2019-03-18 |
Last Update Date | 2023-06-23 |