| NPI | 1336674126 |
|---|---|
| Other Name | MISTY ANN LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174795) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024174795) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2022-10-03 |