| NPI | 1801842414 |
|---|---|
| Former Name | TRACI BUXTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R4043) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-2906) |
| 207Q00000X Family Medicine (Licence: SC 52321) | |
| 207Q00000X Family Medicine (Licence: MD 84937) | |
| 207Q00000X Family Medicine (Licence: MO 2014008185) | |
| 207Q00000X Family Medicine (Licence: FL ME137487) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2019-08-19 |