NPI | 1053806141 |
---|---|
Former Name | CINDY LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NC 2022-00437) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL UO6082) |
Enumeration Date | 2018-06-29 |
Last Update Date | 2022-04-27 |