| NPI | 1033517768 |
|---|---|
| Former Name | LACY THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25492) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004241) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2021-04-09 |