NPI | 1487014023 |
---|---|
Former Name | CHRISTINE LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS019828) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-02-24 |
Last Update Date | 2022-08-08 |