| NPI | 1144540428 |
|---|---|
| Former Name | COURTNEY MICHELLE LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: SC 32736) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: SC 32736) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2020-02-25 |