| NPI | 1972017648 |
|---|---|
| Other Name | CAROL LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN298728) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN685141) |
| 163W00000X Registered Nurse (Licence: NJ 26NR18993700) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP018057) | |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2020-11-10 |