NPI | 1912931064 |
---|---|
Former Name | CARRIE R. LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3004904) |
Additional Taxonomies | 176B00000X Midwife (Licence: KY 3004904) |
363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3004904) | |
Enumeration Date | 2006-07-11 |
Last Update Date | 2018-10-15 |