NPI | 1649248576 |
---|---|
Former Name | LEE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207NP0225X Dermatology Pediatric Dermatology (Licence: SC 22975) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 22975) |
Enumeration Date | 2006-03-08 |
Last Update Date | 2024-01-28 |