| NPI | 1477101855 |
|---|---|
| Former Name | LACEY ROSEMARIE YEAGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP025991) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.025775) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2022-12-27 |