| NPI | 1396142253 |
|---|---|
| Former Name | LACEY JEAN CURTIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6084-33) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 6084) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2022-10-24 |