| NPI | 1104122266 |
|---|---|
| Former Name | CHELSEA RAY LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2017-02094) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101018859) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2021-10-06 |