| NPI | 1750872727 |
|---|---|
| Former Name | RACHEL ERIKA LEE |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 71571) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61065105) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2022-09-19 |