| NPI | 1548713290 |
|---|---|
| Former Name | LACEY WERNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71006524A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28187969A) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2021-06-15 |