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 | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV APRN002167) |
363LF0000X Nurse Practitioner, Family (Licence: NV APRN002167) | |
Enumeration Date | 2016-03-28 |
Last Update Date | 2025-09-10 |