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 |