| NPI | 1568012250 |
|---|---|
| Former Name | REBECCA K LAFAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 269415) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN PENDING) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2022-04-28 |