| NPI | 1811482466 |
|---|---|
| Former Name | TAMARA LYNN LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 257224) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71008074A) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2021-08-23 |