| NPI | 1174992846 |
|---|---|
| Former Name | STEPHANIE R LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA F141666) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F141666) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2019-07-03 |