| NPI | 1770566481 |
|---|---|
| Former Name | TRACY THOMPSON ALTLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101058379) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 27853) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2016-03-22 |