NPI | 1760774970 |
---|---|
Former Name | SEOYANG LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA 19208) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC9115) |
Enumeration Date | 2011-05-05 |
Last Update Date | 2013-02-20 |