NPI | 1649346099 |
---|---|
Former Name | KATHERINE ELAINE LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN102050) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN102050) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2022-06-14 |