| NPI | 1053661587 |
|---|---|
| Former Name | LACIE DAWN SCHULTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 20758) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024191410) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2025-12-02 |