NPI | 1609067727 |
---|---|
Former Name | JENNIFER ANN LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA L-228782) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 245351) |
207L00000X Anesthesiology (Licence: TN 48857) | |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: MA 245351) | |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN 48857) | |
Enumeration Date | 2007-08-05 |
Last Update Date | 2021-02-16 |