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 |