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