| NPI | 1306089214 |
|---|---|
| Former Name | LACEY BOND MCINTOSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.1000503-NP) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2025-03-26 |