| NPI | 1851831499 |
|---|---|
| Former Name | LACEY RAE COQUELIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G178631) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A109462) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2025-10-05 |