| NPI | 1578124541 |
|---|---|
| Former Name | SANDRA LYNN LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN136956) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA NCO-000008) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA NCO-000008) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN136956) | |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2019-06-21 |