| NPI | 1427634526 |
|---|---|
| Other Name | NICOLE LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 1018552) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A191977) |
| Enumeration Date | 2021-03-20 |
| Last Update Date | 2024-09-05 |