| 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 |