| NPI | 1871600296 |
|---|---|
| Former Name | SHERI LOUISE TRACY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 488158) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 2782-154) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2019-04-12 |