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 |