| NPI | 1811166648 |
|---|---|
| Former Name | TRACY DEVON HEARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 731264) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 731264) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2009-02-04 |