| NPI | 1962246850 |
|---|---|
| Former Name | TRACY MOSES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11033468) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11033468) |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2025-02-17 |