| NPI | 1356603997 |
|---|---|
| Other Name | STEPHANIE ANN LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 12991) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND RL12340) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2020-06-08 |