| NPI | 1841337110 |
|---|---|
| Former Name | TRACI M. ANGELICA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CO DR49586) |
| Additional Taxonomies | 174H00000X Health Educator |
| 175F00000X Naturopath | |
| 133N00000X Nutritionist | |
| 171W00000X Contractor | |
| 173000000X Legal Medicine | |
| 1744R1102X Specialist Research Study | |
| 175L00000X Homeopath | |
| 246ZS0410X Specialist/Technologist, Other Surgical Technologist | |
| 208600000X Surgery (Licence: CO DR49586) | |
| 246XC2903X Specialist/Technologist Cardiovascular Vascular Specialist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 246ZB0301X Specialist/Technologist, Other Biomedical Engineering | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2024-01-10 |