| NPI | 1275683211 |
|---|---|
| Former Name | SOO MI LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: IL 036-109024) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2010-08-24 |