NPI | 1699152454 |
---|---|
Former Name | GRACE MYUNG LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CA A182376) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD473043) |
207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: PA MT220064) | |
Enumeration Date | 2015-04-30 |
Last Update Date | 2022-12-02 |