NPI | 1689809345 |
---|---|
Other Name | CRYSTAL RENEE LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301094933) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 296676) |
207R00000X Internal Medicine (Licence: CA C159427) | |
207R00000X Internal Medicine (Licence: TX S0496) | |
Enumeration Date | 2009-05-26 |
Last Update Date | 2022-12-27 |