| NPI | 1578622213 |
|---|---|
| Former Name | MICHELLE GENIA LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME110636) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A95002) |
| 207R00000X Internal Medicine (Licence: FL ME110636) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2014-08-10 |