| NPI | 1811653785 |
|---|---|
| Former Name | LACY JAYE HANKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 223145) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN147217) |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2023-03-15 |