NPI | 1891196259 |
---|---|
Former Name | TRACY ROLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126326) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP126326) |
Enumeration Date | 2014-09-04 |
Last Update Date | 2024-12-16 |