NPI | 1669731949 |
---|---|
Former Name | VICTORIA M LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R1440) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0061608) |
Enumeration Date | 2012-05-08 |
Last Update Date | 2022-08-19 |