| NPI | 1962197343 |
|---|---|
| Former Name | LISA SOUL LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95030923) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 95201564) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2024-07-19 |