| NPI | 1962629246 |
|---|---|
| Former Name | BRITTANY GRACE LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT NUR-APRN-LIC-100513) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT NUR-RN-LIC-28614) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-31 |