| NPI | 1851550115 |
|---|---|
| Former Name | TRACY LYNN LYLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704267843) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71002404A) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2020-08-04 |