| NPI | 1841628443 |
|---|---|
| Former Name | LACY NICOLE BABEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX PA09848) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2023-01-06 |