| NPI | 1023103215 |
|---|---|
| Former Name | EDEN R LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 12198) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35076130) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-06-02 |