| NPI | 1215428677 |
|---|---|
| Former Name | YU KYUNG LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: TX 37604) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 37604) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2022-03-07 |