NPI | 1245477660 |
---|---|
Former Name | EUNICE LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 334489) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NJ 26NR10593500) |
Enumeration Date | 2009-01-08 |
Last Update Date | 2021-04-13 |