| NPI | 1619151842 | 
|---|---|
| Other Name | PAM LEE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00228200) | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 012016-1) | 
| Enumeration Date | 2007-12-24 | 
| Last Update Date | 2015-08-12 |