NPI | 1811481294 |
---|---|
Former Name | LACEY LEIGH BAYSINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9316073) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9316073) |
Enumeration Date | 2018-06-19 |
Last Update Date | 2023-05-31 |