NPI | 1942206834 |
---|---|
Former Name | TRACY L SCHURR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A083846) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA A083846) |
363LF0000X Nurse Practitioner, Family (Licence: IL 209-006162) | |
Enumeration Date | 2005-06-24 |
Last Update Date | 2016-07-14 |