| NPI | 1366925109 |
|---|---|
| Former Name | LACEY LEIGH ANN DRIVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023186) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: OH RN.378894) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |