NPI | 1558994954 |
---|---|
Former Name | KAYLEN RENEE LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-145608) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-145608) |
Enumeration Date | 2020-02-13 |
Last Update Date | 2022-05-17 |