NPI | 1821474446 |
---|---|
Former Name | TRACY MICHELLE SCHLOSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-079663) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-079663) |
Enumeration Date | 2015-08-05 |
Last Update Date | 2021-09-10 |