| 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 |