| NPI | 1811278989 |
|---|---|
| Former Name | TRACEY LEE DEARING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1333) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R147500-3) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2020-11-09 |