| NPI | 1821723727 |
|---|---|
| Former Name | SAMANTHA RUTH LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021871) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: CA 95021871) |
| Enumeration Date | 2022-07-24 |
| Last Update Date | 2024-01-24 |