| NPI | 1659806461 |
|---|---|
| Former Name | ELIZABETH LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TN MD64447) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TN MD64447) |
| Enumeration Date | 2017-04-30 |
| Last Update Date | 2022-02-23 |