| NPI | 1619137932 |
|---|---|
| Former Name | SOOKWOOK LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 249997) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301091767) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2018-08-06 |