| NPI | 1447673264 |
|---|---|
| Former Name | AMBER LEE CORNELIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11020867) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F338464-1) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2022-09-14 |