| NPI | 1972078285 |
|---|---|
| Former Name | TRACY L THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP019404) |
| Additional Taxonomies | 208800000X Urology (Licence: PA SP019404) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2025-09-18 |