| NPI | 1033585054 |
|---|---|
| Former Name | LACEY NICOLE EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MA RN2315093) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: DC RN1033864) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2023-09-05 |