| NPI | 1609864545 |
|---|---|
| Former Name | JISUN LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD61059119) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M4275) |
| 207Q00000X Family Medicine (Licence: PA MD443886) | |
| 207Q00000X Family Medicine (Licence: WA MD61059119) | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2024-04-22 |