| NPI | 1598011587 |
|---|---|
| Former Name | JENNY LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 019956-CNP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 22129) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2018-12-21 |