| NPI | 1790013209 |
|---|---|
| Former Name | TRACY ORTIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G160754) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 112249) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2025-01-23 |