| NPI | 1427438464 |
|---|---|
| Former Name | SAMANTHA LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7835) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP7835) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2023-04-03 |