| NPI | 1073975090 |
|---|---|
| Former Name | LATRICIA A LACY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN002167) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002167) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV APRN002167) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2023-10-04 |