| NPI | 1922396803 |
|---|---|
| Former Name | TRACY L BRAZZIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP120514) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 625141) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2020-06-29 |