| NPI | 1902143787 |
|---|---|
| Former Name | KATRINA LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9109028) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2025-01-31 |