NPI | 1396364055 |
---|---|
Former Name | ANASTASIA JENNA LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 830020) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 830020) |
Enumeration Date | 2020-04-13 |
Last Update Date | 2021-06-22 |