NPI | 1356907737 |
---|---|
Former Name | YOUNYOUNG LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA DDS105870) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-05-11 |
Last Update Date | 2021-01-25 |