| NPI | 1316115520 |
|---|---|
| Former Name | MEGAN KRISTINE LACEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.005163) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209005163) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2021-07-14 |