Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 198002 | NC |
NPI | 1184067712 |
---|---|
Provider Name | Mary Elizabeth Lee |
First Address | Chapel Hill, NC 27514-4220 |
Second Address | Chapel Hill, NC 27514-4220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2013 |
Last Update Date | 13/04/2013 |