NPI | 1366469900 |
---|---|
Former Name | DARIA L LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 20275) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 35681) |
207P00000X Emergency Medicine (Licence: OH 35-07-7199L) | |
Enumeration Date | 2006-07-17 |
Last Update Date | 2010-12-15 |