| NPI | 1134491913 |
|---|---|
| Former Name | CATHERINE BENNETT LACY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R1756) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG159124) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2021-12-17 |