| NPI | 1962038018 |
|---|---|
| Former Name | TRACEE JON SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202202434NP-PP) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: OR 201509445RN) |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2022-03-16 |