| NPI | 1144334590 |
|---|---|
| Other Name | WANDA LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 14415) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 00014415) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: AL 14415) | |
| 208D00000X General Practice (Licence: AL 14415) | |
| 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: AL 14415) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2011-02-18 |