NPI | 1174705750 |
---|---|
Former Name | CHRISTINE LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.10063) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704190607) |
Enumeration Date | 2007-12-05 |
Last Update Date | 2017-11-15 |