| NPI | 1881334878 |
|---|---|
| Former Name | LACY BROOKE MCCAIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OK R0109120) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-04-02 |