NPI | 1083046973 |
---|---|
Former Name | WHITNEY ISABEL LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2286653) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2286653) |
Enumeration Date | 2013-08-02 |
Last Update Date | 2023-07-26 |