| NPI | 1629115464 |
|---|---|
| Former Name | MELISSA ANNE LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OK 24616) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 24616) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2022-07-04 |