NPI | 1720465503 |
---|---|
Former Name | SANDY CHOU LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 64395) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 67681-20) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-30 |
Last Update Date | 2022-05-24 |