| NPI | 1174966980 |
|---|---|
| Former Name | LACEY RENEA HOWARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0067123) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 5570) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2023-04-28 |