| NPI | 1861637480 |
|---|---|
| Former Name | TRACI MICHELE MEANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101249696) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101249696) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2023-03-01 |