| NPI | 1902911449 |
|---|---|
| Former Name | TRACY MESZAROS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601003637) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MI 5601003637) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2024-11-05 |