| 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 |