| NPI | 1619361037 |
|---|---|
| Former Name | NICOLE D. M. LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: IN 28192832A) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IL 041386097) |
| 163WG0000X Registered Nurse, General Practice (Licence: IL 209011762) | |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |