| NPI | 1083152466 |
|---|---|
| Former Name | LACIE A THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9328029) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9328029) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2024-01-23 |