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 |