| NPI | 1861733529 |
|---|---|
| Former Name | TRACY TUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60455419) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60455419) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2018-08-15 |