| NPI | 1992051213 |
|---|---|
| Former Name | TRACY DE ANN SHRAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: AR S002266) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-08-30 |