| NPI | 1174987176 |
|---|---|
| Former Name | LACEY BERNARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 12927188-1205) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ID MC2056) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: UT 12927188-1205) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2023-04-21 |