| NPI | 1043732266 |
|---|---|
| Former Name | LACEY MICHELLE KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP134367) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP134367) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP134367) | |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2024-10-08 |